National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
National Project Implementation Plan - NVBDCP
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Chapter 8<br />
Impact Evaluation<br />
The impact evaluation studies conducted under the <strong>NVBDCP</strong> will generate<br />
evidence to assist in the realization of two important goals in disease control<br />
efforts: (1) to provide timely diagnosis and treatment services for malaria<br />
control, most notably through the introduction of ACT in endemic areas. (2) to<br />
increase the number of people benefiting from effective prevention, including<br />
the promotion of LLINs. Impact evaluation will be used to investigate the<br />
effectiveness and cost-effectiveness of alternative strategies in disease control<br />
efforts to be evaluated for ongoing <strong>NVBDCP</strong> activities and this will be<br />
conducted in the first two years of the project to inform policy going forward.<br />
The summary of the interventions, for case management and for involving the<br />
distribution of LLINs are described below:<br />
8.1 Case management<br />
Technical Advisory Committee (TAC) in 2008 has approved the use of<br />
Artesunate Combination therapy (ACT) for all confirmed diagnosed<br />
P.falciparum cases in 50 districts under the World Bank project. <strong>NVBDCP</strong> has<br />
introduced the revised policy for malaria diagnosis and treatment to all the<br />
states including states under GFATM and the World Bank. With the help of the<br />
existing structures of the NRHM, ASHA or other Voluntary Health workers<br />
already available at the village level will serve as the local frontline<br />
representative for fever/malaria control and will dispense ACT to P. falciparum<br />
confirmed fever cases. To assist the ASHA in her efforts, the <strong>NVBDCP</strong> has<br />
positioned Malaria Technical Supervisor (MTS), who will be fully devoted to the<br />
control of malaria in high-burden areas. As per implementation arrangement,<br />
NVPDCP will hire around 6 MTS at the district level who will together support<br />
the work of roughly 450-500 ASHA workers.<br />
ASHAs responsibilities are numerous, including family planning, nutrition, and<br />
vaccination. These multiple jobs raise the distinct possibility of underperformance<br />
concerning malaria treatment and control. The case management<br />
component of the impact evaluation will evaluate the effectiveness and costeffectiveness<br />
of enhanced saturation by MTS to supervise the ASHA worker on<br />
a more regular basis in order to explore whether and to what extent ASHA<br />
performance will benefit from more intensive training and supervision. Under<br />
this design, two Malaria Technical Supervisors (MTS) will be posted at the block<br />
level and each individually will be responsible for 75 ASHA workers. This ratio<br />
of MTS to ASHA workers ensures that the travel burden of each MTS will be<br />
greatly reduced and that each ASHA worker will be directly supervised at least<br />
once monthly. Supervision will also include BCC for villagers in her catchment<br />
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